Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENJAMIN B ROA, PHD
ActiveBENJAMIN B ROA, PHD is a 207SG0203X healthcare provider located in SALT LAKE CITY, Utah. NPI 1679145528 is currently active in the NPPES registry. Verify at CMS.
207SG0203X · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1679145528
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 12, 2021 (5.111015707097 yrs)
- Last Updated
- Aug 19, 2025
- License
-
ROAXB1 (NY)
Practice Information
- Address
-
322 N 2200 WSALT LAKE CITY, UT, 841162922Browse UT providers · Browse ZIP 84116
- Phone
- 8015843600
- Primary Specialty
-
207SG0203X
207SG0203X
Other 207SG0203X Providers in SALT LAKE CITY, UT
| Name | Credential | NPI |
|---|---|---|
| DR. KENNETH WARD | MD | 1487641437 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.